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What are the treatment options for condyloma acuminatum?
Condyloma treatment is treated with cryotherapy (freezing), radio frequency and electro cautery techniques. There is information circulating among the public that they are being treated with laser. However, this is not true.
What is the difference between condyloma acuminatum and condyloma Lata?
Which of the following statements regarding adjuvant therapy for breast carcinoma is INCORRECT? Antibiotics. Treatment of condylomas includes all but which of the following? It is caused by a toxin produced by Staphylococcus aureus.
How is condyloma acuminatum diagnosed?
Treatment options for patients with condyloma acuminatum include all of the following except: A. topical acyclovir. B. cryotherapy. C. podofilox. D. trichloroacetic acid. Click card to see definition 👆. Tap card to see definition 👆. A. topical acyclovir. Click again to see term 👆.
How are papillary papules differentiated from condyloma acuminatum?
Topical antimitotics (eg, podophyllotoxin, podophyllin, 5-fluorouracil), caustics (eg, trichloroacetic acid), interferon inducers (eg, imiquimod), and sinecatechins (a newer botanical product with an unknown mechanism) -Before topical treatments are applied, surrounding tissue should be protected with petroleum jelly.
Why are axillary lymph nodes examined when treating a patient with breast carcinoma?
Which surgical procedure is used to remove only the tumor and a small amount of adjacent breast tissue quizlet?
What is the presence of normal endometrium in any location outside the endometrial cavity called?
Which of the following are bands of fibrous tissue that connect breasts to the chest wall?
Which surgical procedure is used to remove only the tumor and a small amount of adjacent breast tissue?
What is breast removal surgery called?
Can I get pregnant with thickened endometrium?
What is the name given to the endometrium during pregnancy?
Is it possible to get pregnant with thin endometrium?
Uterine Lining must be at least 8 mm thick for successful implantation of the fetus. If it (Uterine Lining) is thin, implantation does not take place that culminates in the failure of pregnancy. Hence one needs to get treatment for Thin Endometrium to become pregnant.
What causes swollen lymph nodes in the breast?
Is Ultrasound better for dense breasts?
How do you prevent breast ptosis?
- Avoid smoking. Tobacco use contributes to sagging skin. It can break down collagen and result in skin that looks less full. ...
- Use sunscreen. Sun exposure is a trigger for skin damage. ...
- Keep a consistent weight. Gaining and losing weight can stretch your skin past its ability to snap back.
How common is condyloma acuminatum?
Condyloma acuminatum are common among adults in the United States. According to a national study conducted by the Centers for Disease Control (CDC) during 1999-2004, 50.6% (95% confidence interval [CI], 4.9–6.4%) of sexually active adults aged 18-59 years reported having been diagnosed with genital warts. According to another study, incidence of first visits to physicians’ offices for condyloma acuminatum increased from the 1960s (under 100,000 visits per year) to 2009 (over 300,000 visits).
Why do patients prefer certain modalities?
Convenience. Patients might prefer certain modalities on the basis of whether it’s patient-applied or provider-administered, and frequency of treatments.
What is Molluscum contagiosum?
Also typically asymptomatic papules, but which can usually be distinguished from condyloma acuminatum by the smooth, dome-shaped morphology, usually accompanied by a central umbilcation (highlighted by the application of a small amount of liquid nitrogen) of molluscum contagiosum.
Is a lesions papilliform or sessile?
Lesions can be either papilliform, having an exophytic component, or sessile (Figure 1), having a broad base. Figure 1. Sessile plaque at the base of the penis (condyloma acuminatum). The surface of lesions can be verrucous or flat, with the former more common for mucosal lesions.
Why does a postmenopausal woman consult her doctor?
A postmenopausal woman consults her physician because of irregular uterine bleeding. Which of the following conditions could be responsible for the bleeding?
What is the treatment for estrogen receptor negative breast carcinoma?
An estrogen-receptor-negative breast carcinoma is usually treated with the drug tamoxifen.
Is axillary lymph node dissection better than mastectomy?
When treating breast carcinoma, the long-term results of total mastectomy with axillary lymph node dissection are much better than the results of segmental mastectomy or lumpectomy followed by radiation therapy.
Can a tumor be cured?
Tumor is malignant but can usually be cured if treated by surgery and anticancer drugs
Does a bilateral mastectomy reduce breast cancer risk?
Bilateral prophylactic mastectomy greatly reduces breast carcinoma risk in women with BRCA1 or BRCA2 mutations.
How long does it take for condylomata acuminata to appear?
Symptoms and Signs of Condylomata acuminata. Warts appear after an incubation period of 1 to 6 mo. Visible anogenital warts are usually soft, moist, minute pink or gray polyps (raised lesions) that are: -Enlarge. -May become pedunculated.
Do condoms protect against infection?
Because of the location of these warts, condoms may not fully protect against infection.
Is a wart asymptomatic?
The warts are usually asymptomatic, but some patients have itching, burning, or discomfort.
Can anogenital warts be treated?
No treatment of anogenital warts is completely satisfactory, and relapses are frequent and require retreatment. In immunocompetent people, genital warts may resolve without treatment. In immunocompromised patients, warts may be less responsive to treatment.
What is the name of the test that involves radiologic imaging of an injection of a water- or oil-soluble
a bicornuate or septate uterus. The fertility test that involves radiologic imaging of an injection of a water- or oil-soluble contrast traveling through a women's reproductive system is called: Question options: laparoscopy. hysterosalpingogram.
Can HSV be transmitted during asymptomatic periods?
Sexual transmission of HSV can occur during asymptomatic periods.
Why is long term use of COC discouraged?
Long-term use of COC is discouraged because the body needs a "rest" from birth control pills from time to time. B. Fertility is often delayed for many months after discontinuation of COC. C.
Is the duration of lower dose HTR shorter than that of higher dose regimens?
The duration of lower-dose HTR is usually shorter than that of higher-dose regimens . When counseling a 46-year-old woman who is experiencing debilitating hot flashes, you advise all of the following regarding higher and lower dose hormone replacement therapy (HT) except:
Does DMPA interact with seizure medication?
C. "Depo-Provera (medroxprogesterone acetate in a depot injection [DMPA] use will likely not interact with your seizure medication."
What are the symptoms of cytomegalovirus mononucleosis?
Cytomegalovirus mononucleosis typically has fever and lymphocytosis, but in severely immunocompromised patients symptoms include: A. vesicular lesions in oral mucosa. B. pocks on skin. C. sore throat, fever, and tinnitus. D. severe diarrhea, pneumonitis, hepatitis, and retinitis. E. None of the choices are correct.
What animals are most likely to transmit C. elegans?
C. transmission is typically by contact with monkeys, squirrels, and rats.
Is C. a mononucleosis?
C. it appears as a mononucleosis-like illness in adults.
Treatment
Management
- There is no single approach to management of condyloma acuminatum that is best for all patients. Management of condyloma acuminatum should rest on the following considerations. Treatment effectiveness. There are few comparative effectiveness studies of condyloma acuminatum treatment, making it difficult to make evidence-based management decisions.
Cost
- Cost. Patients might prefer certain modalities on the basis of cost considerations, including insurance coverage.
Advantages
- Convenience. Patients might prefer certain modalities on the basis of whether its patient-applied or provider-administered, and frequency of treatments.
Adverse effects
- Adverse effects. Patients might have preferences regarding adverse effects (eg, pain of a surgical or physical treatment, compared with irritation associated with medical therapies). Additionally, a theoretical concern with immune-modulating therapies such as imiquimod is that inflammation caused by the therapy might draw immune cells vulnerable to HIV infection or infected with HIV …
Contraindications
- Treatment of condyloma acuminatum in pregnant women. Imiquimod, sinecatechins, podophyllin, and podofilox should not be used during pregnancy. Other modalities can be used with caution. HPV-6 and -11 are rare causes of respiratory papillomatosis in infants and children, although the mode of acquisition of that infection has not been definitively established. Reduction of risk of r…
Research
- Theoretically, modalities that are (or are thought to be) mediated by immune modulation (such as imiquimod or sinecatechins) might be less effective in HIV-infected persons. Some evidence indicates that in at least some patients with well-controlled HIV infection, however, those modalities might be effective.
Prevention
- Of note, evidence of current or prior HPV infection, including condyloma acuminatum, does not impact recommendations for HPV vaccination. Prevention of HPV
Prognosis
- Patient follow up depends on the type of therapy chosen. A patient treated with cryotherapy, for example, should return in approximately 1-2 weeks, if possible, compared with a patient treated with a patient-applied medical therapy, who might be asked to return (assuming there are no serious adverse effects or concerns) after several months.
Controversy
- Patients often have many concerns regarding acquisition of HPV infection that causes warts, potential for transmission to sex partners, effectiveness of treatment, prevention of condyloma acuminatum in the future (including indications for vaccination against HPV infection), and relationship of condyloma acuminatum to other manifestations of HPV infection (including, and …
Diagnosis
- As discussed above, biopsy should be considered for unusual or recalcitrant lesions. Gynecologic, urologic, or surgical consultation should be considered if condyloma acuminatum are large or involve sensitive anatomic sites.
Resources
- Workowski, KA, Bolan, GA. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep.. vol. 64. 2015 Jun 5. pp. 1-137. (Specific section on anogenital warts available at: http://www.cdc.gov/std/tg2015/warts.htm . Summarizes mechanisms of action of treatments for condyloma acuminatum and recommendations for which modalities should and should not be u…
Other sources
- Dunne, EF, Datta, SD, Markowitz, L. A review of prophylactic human papillomavirus vaccines: recommendations and monitoring in the US. Cancer. vol. 113. 2008. pp. 2995-3003. (Medical epidemiologists from CDC review the epidemiology of HPV infection, describe prophylactic HPV vaccines, and summarize postvaccine licensure monitoring.) Flagg, EW, Schwartz, R, Weinstock, …
Selected publications
- Forcier, M, Musacchio, N. An overview of human papillomavirus infection for the dermatologist: disease, diagnosis, management, and prevention. Dermatol Ther. vol. 23. 2010. pp. 458-76. (Very useful review of all aspects of HPV infection.) Handler, MZ, Handler, NS, Majewski, S. Human papillomavirus vaccine trials and tribulations: Clinical perspectives. J Am Acad Dermatol. vol. 73…
Literature
- Petrosky, E, Bocchini, JA, Hariri, S. Use of 9-Valent Human Papillomavirus (HPV) Vaccine: Updated HPV Vaccination Recommendations of the Advisory Committee on Immunization Practices. MMWR. vol. 64. 2015. pp. 300-304. (Includes public health recommendations regarding HPV vaccination.)
Funding
- No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. The Licensed Content is the property of and copyrighted by DSM.